HomeMy WebLinkAboutCONSTITUTION AVE. S., 514
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER ~~fi!Q0604 '!;'~\]\'1
DATE ISSUED: ~~Q3
286 Fourth SI. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 3790-004-022-0103
APPLICANT NAME: JACOBSON BRIAN
OWNER NAME: JACOBSON BRIAN
CONTRACTOR: SELF
LENDER NAME:
SUBMITTED: 1 0/21/2003
VALUATION: $92,716.63
State Energy Code $50.00 4580
State Surcharge $4.50 0236
Building Permit $944.75 2211
Plan Review Fee $614.09 4580
Mechanical Fixture Fee $122.00 2215
Plumbing Fixture Fee $104.00 2213
TOTAL FEES: .' .~Jfil39"34
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Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
SF-3
(360)731-0932
(360)731-0932
514 S CONSTITUTION AVE, LOT 22
PO BOX 2274
PO BOX 2274
,and State and Federal laws.
PRINTED NAME:
TI1LO& 1/ /V"
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APPROVED:
1,321 SOFT
275 SOFT
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shall become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or
work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not
been suspended. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or localloaw regulating
construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contracto~s Registration Law
under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are
required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
11/24/2003
SIJ.frlIlal Buil~.~imit w/,~~.ica~ium~ng.:':
NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
Building Code Edition: UBC: 1997
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks: (Front) (Side) (Rear) (Other)
Sanitation Method:
Number of Bedrooms:
Square Footage:
Dwellings - Type V Wood Frame
Private Garages - Wood Frame
I have read, and agree to abi
SIGNATURE OF OWNER OR
AGENT:
(360) 473-5870
(360) 415-4000
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
CONDITIONS
City of Bremerton's appr val of this application pertains only to the City's regulatc)ry jurisdiction, and thus compliance with City
regulations does not nec'essarily ensure compliance with federal or state laws.
1. Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and
Washington Department of Labor and Industries (L&I) regulations require an asbestos survey be performed to
determine whether there are asbestos-containing materials in the work area or structure. The asbestos survey must
be conducted by and EPA-certified (AHERA) building inspector (except renovation or owner-occupied single family
residences).
2. For more information, please contact Clean Air Agency through their web site at www.cleanair.org or by phone at
800-552-3565 or 206-689-4058. The L&I web site can be found at www.lni.wa.gov/p-ts/asbestos/asbestos.htm.
3. Right-of-Way Permit required prior to issuance of a building or grading permit. R-O-W PERMIT # 4586 ISSUED
10-09-2003. VW
4. Temporary Erosion & Sedimentation Control shall be according to BMC 15.04.042 for Small Parcel Minimum
requirements.
5. Frontage Improvements are required per City Ordinance 11.12.110.
6. Frontage Improvements Agreement will be required for installation of curb, gutter, sidewalk, streetlighting, and
associated pavement and stormwater conveyance.
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Page 1 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER ~6b604
DATE ISSUED: 1
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 3790-004-022-0103 ZONING: SF-3 SITE ADDRESS:
APPLICANT NAME: JACOBSON BRIAN PHONE: (360)731-0932 ADDRESS:
OWNER NAME: JACOBSON BRIAN PHONE: (360)731-0932 ADDRESS:
CONTRACTOR: SELF PHONE: . ADDRESS:
LENDER NAME: PHONE: 0- ADDRESS:
SUBMITTED: 10/21/2003 APPROVED: 11/24/2003 EXPIRATION:
514 S CONSTITUTION AVE, LOT 22
PO BOX 2274
PO BOX 2274
OS/23/2004
FRONTAGEINPROVEMENTAGREEMENT
APPROVED 11-11-03. VW
7. All utility fees and assessment shall be paid prior to final occupancy approval
8. Building Plan Review:
1. Braced Wall Panels-Provide engineering on braced wall panels under 2'8"(engineering will not be required if an
approved Simpson wall panel or equal is used)
2. Smoke Alarms-Shall be interconnected 110-volt battery backup, one in each bedroom, adjacent hall, and on
every floor
3. C.F.M. Fan Rating-Bath and laundry 50 C.F.M., range hood 100 C.F.M.,whole house fan (2 bed 50-75)(3 bed
80-120)(4 bed 100-150)(5 bed 150-180)
4. Foundation Footings-1 st floor foundation shall be 12" below undisturbed soil, 2nd floor foundations shall be 18"
below undisturbed soil, the ground under the floor may be excavated to the top of the footing and no lower.
5. Insulation Requirments (over 12% glazing)-Walls R-21, Ceiling R-38, Vaulted ceiling R-30 (2x12 const. 2" air
space above insulation for ventilation), Floor R30, Concrete Floor R-10 perimeter.
6. Egress Windows-are required in basements in dwelling units and every sleeping room below the 4th floor. Egress
rescue windows shall have a minimum net clear opening of 5.7 sq ft, a minimum of 24"c1ear height, and a minimum
of 22" clear width.
7. Code Compliance-All work in the City of Bremerton shall adhere to the following codes:
1997 Uniform Building Code
1997 Uniform Fire Code
2000 Uniform Plumbing Code
1997 Uniform Mechanical Code
2001 WA State Energy Code
2000 WA State Ventilation Code
CHECK FOR NOTES ON APPROVED PLANS.
CHECK FOR NOTES ON APPROVED PLANS.
Robert Doobovsky, Plans Examiner, Building Inspector ?Phone (360) 478-5286 ? Pager 337-3553 ?Fax (360)
478-5278? ? e-mail Doobovsky@ci.bremerton.wa.us
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9. Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on site and be available for inspection.
10. Driveways and parking areas must be paved.
MINIMUM INSPECTIONS REQUIRED
Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be
sure to provide your permit number, name on permit, site address, contact phone number, and inspection type.
Foundation Footings
Foundation Walls
Mechanical
Plumbing Groundwork
Plumbing Rough-In
Framing
Shear Wall Panels
Insulation
Sheetrock Nailing
Driveway
Sewer Lateral
Final Inspection. Building
Page 2 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER ~iB;O~3~Q060;r',,"H
DATE ISSUED: ::r;f/~!D~~~c .
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
SUBMITTED:
3790-004-022-0103
JACOBSON BRIAN
JACOBSON BRIAN
SELF
10/21/2003
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
APPROVED:
SF-3
(360)731-0932
(360)731-0932
0-
11/24/2003
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
514 S CONSTITUTION AVE, LOT 22
PO BOX 2274
PO BOX 2274
EXPIRATION:
OS/23/2004
Qty
2
2
1
1
1
3
2
Description
R-Water Closet and/or Urinal
R-Hose Bibs
R-Clothes Washing Machine
R-Dish Washer
R-Water Heater
R-Sink (Lavatory, Kitchen, Mop or Bar Sink)
R-Tub and/or Shower Unit
FIXTURE LIST
Qty
3
1
1
3
1
1
Descriptior
R-Bath Fan and/or Exhaust Fan
R-Natural Gas Furnace +/- Ducting
R-Clothes Dryer with Exhaust
R-Gaspipe System LPG/NATL/OIL
R-Cook Stove with Exhaust
R-Range Hood
Page 3 of 3
. \.
5803 000U,
$~~ cO!-7
lO)[gcg[g8W[g~
1m OCT 2 1 2003 ~
~ t1R~aroN
PESmmiN(tttrlRr~NTER
..
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i.]4~!~~1:i~~~~~~r:;;~~~~~E~~~;~I;~~~1~1f8~~l~}\~~!!;u~;:
Departm.ent of Community Development :c 286 4tl1 Street ::. J3remel1:on :c 'X/A:!- 98337
(360) 478-5275 :c Fax (360) 478-5178
r~-~r-;~ '-
L ';~:L L L,!
L......i l-.l :;- _J"l::
ate, Zip
""""'--
Phone #: (
License #
OWNER Name:
Address:
City, State, Zip
Phone #:
Expir. Date:
Authorized Agent Address:
Contact Name:
Contact Phone #:
. .
City, State, Zip
Phone #: C
)
)
Check the type of apolication for below:
~
o
o
o
o
I\JEW SINGLE-FAMILY RESIDEI\JCE
NEW DUPLEX
I\JEW MANUFACTURED HOME
RESIDENTIAL REMODEL
RESIDENTIAL ADDITION
RESIDENTIAL REPAIR
o NEW COMMERCIAL
o COMMERCIAL REMODEL
o COMMERCIAL ADDITION
o COMMERCIAL REPAJR
o NEW MULTI-FAMILY
o TENANT IMPROVEMEf\1T
o
o
o
o
o
o
YES 0
NEW GARAGE/CAR PORT
NEW ACCESSORY SLOG
NEW 81 GN
STRUCTURE DEMOLlTION
GRADIHG (Cubic yards: _)
OTHER
is THIS PROPERTY WiTHIN 200 FEET OF A SHORELiNE?
NO~'
Scope of Work Proposed:
/3 () II-" IV e.jlJ ,5 PI? '1 c;l/;fIt€-
Square Footage: Dwelling: 13.)...)
Garage: d')r
Decks:
. Permit Fee ' Total Fees
. lo 4D~ C144]5 0f5)~ (~.3t-
61;1' I .' \ . . .
)I,pp!1icati~n for which no permit is issued wfthin -180 days following the date of application shall expire by limitation, and
plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official.
The building official may extend the time for action by the applicant for a period not exceeding 180 da'j/s on request by
thE applicant showing the circumstances beyond the control of the applicant have prevented action from being taf;en. I'Jo
applicant shall be e)j:ended more than once. In ooder to. renew action on an application after expiiation, the applicant
shall resubmit plans and pay a new plan review f
DATE: /~-~-PJ
,L'.'pPUC,il,NTS SIGi\!ATURE:
I ,t...
\13603
ODGOt-
:ritt~~2~::~W~!i~"~~'~1j
" '~~'l"I'!~\ij ":I,~\"""~,,,..,':~IT.'\TI'r'""r.'I'UI~1~"~~""~J":'""""''''"'J'ti:i"'I'fl~"'l$~'iIII(I!' ',I ,
:,~~~.~,~~~~~n;,~:~::~~:~l;:'~~~~~~'~~~~,~,~~~~~~~!~~~~~~:~~:) .
PERl\1IT CENTER
98337
j~ I
Type of Fuel:
Occupancy:
MECHAM eAL
I-W-I
o Electric !SlI Gas
o Residential 0 Commercial
fl7 .s; t:ihf)3Ti"I/T/p";.IJr/~
/ OWNER:
o Oil
o
Propane
Site Address:
CONTRACTOR:
It!
Address:
City, State, Zip:
License # & Exp. Date:
Contact Phone #:
NO. I TYPE OF EQUIPMENT NO, TYPE OF FIXTURE
j I HANGE 2. WA I ER CLOSET
~ WOOD/PELLET S lOVE/GAS FIREPLACE BATHTUB
/
/ GAS FURNACE btu ..2.. LAVATORY (BATH SINK)
f CONVERSlOt~ BURNER: btu , SHOWER
UNII HEA I ER btu I KITCHEN SINK
BOILER btu / I DISHWASHER ~ ~ "'=' r= nnnr?
"
-3 GAS PIPING -, LAUNDRY TRAY n \.IS~I.S~ W l!;; '\
EVAPORATION COOLERS btu / CLOTHES WASHER .r 1 nI"T'') 'I "nn!l J
AC Ut~1T btu J WAJ ER HEATER 11 l 'lJ V I f.J.1. &.uu", ...J
HEAT PUMP btu U RJ NAL 1/11\1
-.
REHEAT BOX btu: DRINKING FOUi'HAIN . ",....
\3 EXHAUST FANS . . FLOOR SINK OR DRAlN
J RANGE HOOD (RESIDEt-JTIAL) , WATER PIPING &ALTERATIOr~
P.,ANGE HOOD (COII/lIvIERCIAL) GREASE TRAP/II'<1 J ERCEPTOR
} CLOTHES DRYER -Z HOSE BlBBS
11'~CINERATOR LAWN SPRINKLER SYSTEM
DUCT AL TERP.TION SWIMMING POOL
I TANK TYPE: I BLDG. SEWeR: (MOBlUMOVED HOME)
REFRIGEHATIO/~ U/o,JIT i ROOF DRAIJ~S .
01 Ht::R: OTH cR:
IviECHAj'<1ICAL FEES:
PLUhABlio,JG Fl::ES:
I OTAL FFES:
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Dale
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
6000001054
286 Fourth 51. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
BB03 00604
BB0300604
BB0300604
BB03 00604
BB03 00604
State Energy Code
State Surcharge
Building Permit
Mechanical Fixture Fee
Plumbing Fixture 'Fee
1/4580
1/0236
1/2211
1/2215
1/2213
. o rlg1na!lfeel
~mount ];
'. . I,
$ 50.00
$ 4.50
$ 944.75
$ 122.00
$ 104.00
Total:
$ 50.00
$4.50
$ 944.75
$ 122.00
$ 104.00
$ 1,225.25
$0.00
$0.00
$0.00
$0.00
$0.00
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'R~ip'
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A:mou/itpa'
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B000000920
10/21/2003
Plan Review Fee
$614.09
BB03 00604
Total:
$ 1,225.25
$ 1,225.25
CHECK
Page 1 of 1
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
8D00000920:"
" > , ' ~ I '\' ,\,,1,":.' ",
286 Fourth St. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
't:,;~,!{~:~~1~~i' >)~~; ::'; ;':i:f;t~:'~t~E;t~~r;if~'
eipt!;Elafe:!;~1 0721/20
~:'~;~tt~~~ t' /~~~! ",I(~vl " "';: '~;~rJ,:",-(il~~t;~\~:1 ,
:i,~.~~d!~~~~;:~F'~~l.k'i:::: "
:itJ~~~~~;:~,~'::;{~~;'!~~~~rA;"~C~f~;}"ij'~,~i~~~
~:;'\;,':~:,~ '~,t'~-/,;r0' )( 'i~F~~ l:,;'_-,~,:r'''- ..:\'~~~',":'I,~" :".~~ . ",- ,~
8803 00604
Plan Review Fee
1/4580
$ 614.09
Total:
$ 614.09
$ 614.09
$0.00
'I ~ " "1<1 ':~~r~~~: "'i"i'
;,:~~~i~~t;~<~~~::i '
,'-~~~[~e~n:t:':;>'! '
CHECK
5289
'c':~?':'~~f~~,;:
$ 614.09
$ 614.09
Total:
Page 1 of 1
rHE C'TY Of PRIor "'..,0 OPPORTUNiJY
CITY Of
BREMERTON
PERMIT CENTER
286 Fourth Street
Bremerton, W A 98337
(360) 478-5275
II
INSPECTION REPORT
II
PERMIT #:B gaS -ool::04
ADDRESS: ,-5/4 S ~{17i;(toN
09 tUt--rlt'R.- PzPlj1'" ApP~
CD
w/v
I
Nor /J(JPiZovsn ten4Il.IA7 ~y~)
Schedule a reinspection when the above items are corre
by 5:00 p.m. for next day inspection.
Date: J f liD 4 Time:
t I
BUILDING PERMIT tf ciSTE ADDRESS
INSPECTION 614S Ccmtlk-h'D\~
PROJECT DESCRIPTION
FILE CARD (\~ KC2S
jFILE COpy 5'( ; CLlIl ;::) Ct L ub s DY\.
. / ,
Building [Jl Plumbing ~ Mechanical llP Fire Alarm/Sprinkler D
CITY OF
BREMERTON
Permit # BB03 - Q D Ca- Q $:: FILE COPY
Aeproved Date Notes
Erosion Control In Place
\ 1 st
J Foundation Footing
FOUNDATION Foundation walls
DO NOT POUR CONCRETE Plumbing Ground Work
PRIOR TO APPROV AL In Slab Mechanical
Footing Insulation
~2nd PLUMBING Rough In
MECHANICAL Duct / Vent
GAS PIPE Support / Test / Meter set
3rd Hold down connections
Shear Panel nailing
j FRAMING L&I Electrical Approved
If pt & 2nd are approved Ventilation requirements
Framing
4th Under-floor
J walls
INSULATION
i
), 5th SHEETROCK 4 JI! V" I
~ 6th All of the BUILDING 473-5870
above WATER MAL
FINAL Must be 473-5927
approved PUBLIC Driveway 473-5270
Prior to WORKS Sewer 473-5270
fin at FIRE
473-5384/5385
ALL FINAL INSPECTIONS COMPLETED